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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?


To: i-node who wrote (41382)3/9/2017 9:38:05 PM
From: Alex MG  Read Replies (1) | Respond to of 42652
 
>>medicare is broke. Some 50 Trillion short of funding.

No it's not... you do nothing but spew pure BS... but that's nothing new for you

you still defend Trump's lies about Obama's birth certificate... how lame is that?

you are on board with every far right conspiracy, including the latest lunacy that Obama tapped trump's phones

back to medicare

the irony is Obamacare actually has improved the solvency of medicare

factcheck.org
Let’s start with the claim that Medicare “is going broke.” It isn’t. One part of Medicare, though, is expected to face financial shortfalls in the future without changes to either revenues or spending, or both.

Medicare is made up of four parts. What was originally enacted in the 1960s is Part A, which covers payments to hospitals, and Part B, which covers payments to physicians. Other parts were added later — Part C (Medicare Advantage, or private insurance options) and Part D (prescription drug coverage). Part A is funded by a payroll tax that goes into a trust fund, similar to Social Security trust funds, while the physician and prescription drug aspects of Medicare are mainly paid for with general government revenues.

It’s that Part A trust fund that’s expected to run out of money. The current exhaustion date is 2028, according to the latest report from the Medicare trustees. “HI [hospital insurance trust fund] expenditures have exceeded income annually since 2008. However, the Trustees project slight surpluses in 2016 through 2020, with a return to deficits thereafter until the trust fund becomes depleted in 2028,” the 2016 trustees report says.

But that doesn’t mean Medicare would be “broke.” There are other parts of Medicare, and Part A would still have revenue through payroll tax receipts, though not enough to cover all of the expected expenses.

“HI revenues would cover only 87 percent of estimated expenditures in 2028 and 80 percent in 2050,” the trustees report says.

Predictions of financing shortfalls have surrounded Part A almost since it became law in 1965. By 1970, the trustees report projected that “the trust fund would be exhausted in fiscal year 1973, unless additional financing is provided.”

In 1980, exhaustion was expected in 1994; in 1990 the insolvency date was 2003. But Congress has repeatedly pushed back those dates, mainly through increasing taxes — both the payroll rate and wages subject to the tax. Right now, that tax rate is 1.45 percent on wages for employees and employers each, with no ceiling on wages subject to the tax since 1993. (The Affordable Care Act added a Medicare surcharge on high-income wage earners, as we will explain later.)

To be sure, Congress will need to act again to push back the current exhaustion date for the Part A trust fund. The trustees report urges policymakers to “determine effective solutions to the long-range HI financial imbalance.” But it is an exaggeration to say that Medicare is going broke.

We’ve fact-checked similar claims from both Republicans, including Ryan, and Democrats in the past.

Obamacare and Medicare

As for Ryan’s claim that Obamacare had worsened Medicare’s financing, that’s not the case, either. In fact, the law both expanded Medicare funding — adding a 0.9 percent tax on earnings above $200,000 for single taxpayers or $250,000 for married couples — and cut the growth of future spending. Additional revenue and savings actually extend the life of the trust fund.

The trustees’ 2010 report estimated that the ACA had added 12 years to the life of the Part A trust fund.